Long-term effects of a 12 weeks high-intensity functional exercise program on physical function and mental health in nursing home residents with dementia: a single blinded randomized controlled trial.

Autor: Telenius EW; Department of physiotherapy, Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences, PO Box 4 St Olavs plass, 0130, Oslo, Norway. elisabeth-wiken.telenius@hioa.no., Engedal K; Norwegian Centre of Aging and Health, Department of Psychiatry, Vestfold Health Trust, Tønsberg and Oslo University Hospital, Oslo, Norway. Knut.engedal@aldringoghelse.no., Bergland A; Department of physiotherapy, Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences, PO Box 4 St Olavs plass, 0130, Oslo, Norway. Astrid.bergland@hioa.no.
Jazyk: angličtina
Zdroj: BMC geriatrics [BMC Geriatr] 2015 Dec 03; Vol. 15, pp. 158. Date of Electronic Publication: 2015 Dec 03.
DOI: 10.1186/s12877-015-0151-8
Abstrakt: Background: Research indicates that exercise can have a positive effect on both physical and mental health in nursing home patients with dementia, however the lasting effect is rarely studied. In a previously published article we investigated the immediate effect of a 12 weeks functional exercise program on physical function and mental health in nursing home residents with dementia. In this paper we studied the long-term effect of this exercise program. We explored the differences between the exercise and control group from baseline to 6 months follow-up and during the detraining period from month 3 to 6.
Methods: A single blind, randomized controlled trial was conducted and a total of 170 nursing home residents with dementia were included. The participants were randomly allocated to an intervention (n = 87) or a control group (n = 83). The intervention consisted of intensive strengthening and balance exercises in small groups twice a week for 12 weeks. The control condition was leisure activities. Thirty participants were lost between baseline and six-month follow-up. Linear mixed model analyses for repeated measurements were used to investigate the effect of exercise after detraining period.
Results: The exercise group improved their scores on Berg Balance Scale from baseline to 6 months follow-up by 2.7 points in average. The control group deteriorated in the same period and the difference between groups was statistically significant (p = 0.031). The exercise group also scored better on NPI agitation sub-score after 6 months (p = 0.045).
Conclusion: The results demonstrate long-time positive effects of a high intensity functional exercise program on balance and indicate a positive effect on agitation, after an intervention period of 12 weeks followed by a detraining period of 12 weeks. Identifier at ClinicalTrials.gov: NCT02262104.
Databáze: MEDLINE
Externí odkaz: